CAUDA EQUINA SYNDROME

& AIIMS EXPERIENCE!

Deepak Agrawal

CAUDA EQUINA

RADIOLOGY

TIMING

THE AIIMS EXPERIENCE…

723 = 20

10

22

70

FOLLOW UP

• MINIMUM- 1 YEAR

Backache 95% (9-1460)

Sciatica 70%

No LL pain 30%

PAIN

Saddle 80%

LL 70%

SENSORY

BLADDER

100%

Mild 45%

Incomplete 15%

Complete 40%

WEAKNESS

100%Ankle 85%

Knee 30%

Hip 20%

RADIOLOGY

L4-5 55%

Central 60%

LCS 20%

TIME TO SURGERY

• EARLIEST- 4 DAYS

• LONGEST- 3 YEARS

SURGERY

• Laminectomy 50%

• Intralaminar 50%

RESULTS

Normal 67%

Improved 23%

Static 10%

SENSORY OUTCOME

BLADDER OUTCOME

Mild 100%

Incomplete 100%

Complete 60%

MOTOR OUTCOME

Normal(5/5) 45%

Improvement 55%

Static/det 0%

CONCLUSIONS

• CES is uncommon (2.76% in our series)

• Duration of symptoms & time since onset of CES have no correlation with sensory, motor & bladder function recovery

CONCLUSIONS

• Important to differentiate complete & incomplete lesions

• Early diagnosis & surgery is reccom to stop progression of incomplete lesion to complete CES

Thank you